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NCQA Health Insurance Plan Ratings 2019-2020 - Summary Report (Medicare)

Search for a health insurance plan by state, plan name or plan type (private, Medicaid, Medicare). Click a plan name for a detailed analysis.

In 2019, NCQA rated more than 1,000 health insurance plans based on clinical quality, member satisfaction and NCQA Accreditation Survey results. Ratings emphasize care outcomes (the results of care) and what patients say about their care.

The overall rating is the weighted average of all measures, not the average of the three composites (Consumer Satisfaction, Prevention, Treatment). For more information about the ratings, including how they are calculated, visit our 2019 ratings page.

Note: There were no Health Plan Ratings in 2020. See our Health Plan Ratings Marketing and Advertising Guidelines for more information regarding the continued usage of 2019-2020 Health Plan Ratings for advertising and marketing purposes.

Lower Performance Higher Performance
≤1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0
Rating
Plan Name
States
Type
NCQA Accreditation
Consumer Satisfaction
Prevention
Treatment
3.5
 		Blue Cross Blue Shield of Michigan
CMS Contract: H9572
MI PPO No
3.5
4.5
3.5
3.0
 		Blue Cross Blue Shield of North Carolina
CMS Contract: H3449
NC HMO No
3.0
3.5
3.0
3.0
 		Blue Cross Blue Shield of North Carolina
CMS Contract: H3404
NC PPO No
4.0
4.0
3.0
3.0
 		MediSun, dba Blue Cross Blue Shield of Arizona Advantage
CMS Contract: H0302
AZ HMO No
2.5
3.0
3.0
Partial Data Reported Blue Cross Blue Shield of South Carolina
CMS Contract: H7165
SC HMO No I
0.0
 		I
Partial Data Reported Blue Cross Blue Shield of South Carolina
CMS Contract: H8003
SC PPO No I
1.0
2.5
No Data Reported Anthem Health Plans of Virginia, Inc. dba Anthem Blue Cross Blue Shield of Virginia
CMS Contract: H4909
VA PPO No
No Data Reported BCBSM, Inc. (dba Blue Cross Blue Shield of Minnesota)
CMS Contract: H2461
MN HMO No
No Data Reported Blue Cross and Blue Shield of Illinois/Blue Cross Blue Shield of New Mexico
CMS Contract: H3822
IL, MT, NM, OK, TX HMO No
No Data Reported Blue Cross and Blue Shield of Illinois/Blue Cross Blue Shield of New Mexico
CMS Contract: H3251
NM HMO No
No Data Reported Blue Cross and Blue Shield of Illinois/Blue Cross Blue Shield of New Mexico
CMS Contract: H0107
MT PPO No
No Data Reported Blue Cross and Blue Shield of Illinois/Blue Cross Blue Shield of New Mexico
CMS Contract: H8634
IL, NM, OK PPO No
No Data Reported Blue Cross and Blue Shield of Illinois/Blue Cross Blue Shield of New Mexico
CMS Contract: H3979
IL, MT, NM, OK, TX HMO No
No Data Reported Blue Cross and Blue Shield of Illinois/Blue Cross Blue Shield of New Mexico
CMS Contract: H8133
IL, MT, NM, OK, TX HMO No